| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.80 | $853.26 | $5,634.00 | |
Anthem BCBS
| Facility | $970.00 | $5,790.87 | $8,240.00 | |
CareSource
| Facility | $188.39 | $262.04 | $1,094.22 | |
Cigna
| Facility | $1,286.40 | $1,286.40 | $1,286.40 | |
United
| Facility | $1,638.00 | $2,854.00 | $4,271.00 |